Hirsutism

    April 2008 in “ Obstetrics, gynaecology and reproductive medicine ”
    Emmanuel Kalu, Carole Gilling-Smith
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    TLDR Hirsutism is often caused by high male hormone levels and can be treated with lifestyle changes and medications.
    Hirsutism, characterized by the presence of male-pattern terminal hair in women, is primarily caused by hyperandrogenism, with polycystic ovarian syndrome being the most frequent underlying condition. It has a significant hereditary aspect and can lead to considerable psychological distress. Diagnosis involves detailed history-taking and physical examination, including the use of the modified Ferriman–Gallway score to evaluate severity. Management requires a compassionate approach and typically involves a combination of lifestyle changes, mechanical or cosmetic interventions, and pharmacological treatments such as androgen suppressors, peripheral androgen blockers, and agents that alter hair follicle growth. Effective treatment necessitates setting realistic goals and maintaining long-term, uninterrupted therapy to prevent recurrence.
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